Jacqueline Berry Newcomb, SOCIAL WORKER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

3189120 Issued in WI

Practice address

1407 St Andrew St
Suite 100 Lacrosse Co Human Services
La Crosse, WI 54603

Phone

(608) 789-4891

Fax

(608) 785-6315

NPI assigned

Aug 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jacqueline Jean Berry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• La Crosse County Cmo

  • Health Maintenance Organization
  • La Crosse, WI
  • NPI 1225160492
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1275726663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 ST ANDREW ST",
            "address_2": "SUITE 100 LACROSSE CO HUMAN SERVICES",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54603",
            "telephone_number": "608-789-4891",
            "fax_number": "608-785-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 ST ANDREW ST",
            "address_2": "SUITE 100 LACROSSE CO HUMAN SERVICES",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54603",
            "telephone_number": "608-789-4891",
            "fax_number": "608-785-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "JACQUELINE",
        "middle_name": "BERRY",
        "name_prefix": "Ms.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "3189120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "BERRY",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "SOCIAL WORKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maureen A Neuville, LPC
• Kelly Neve, CSAC
• Andrew Nevitt, CRNA
• New Beginnings Counseling Clinic, Inc.
• New Journey Wellness and Consulting, LLC
• Glenmore Michael Newkirk Jr.
• Rhea Mae Newman, BSW
• Thu Lam Nguyen, DO
• Jenna Nichols, PA-C
• Larissa Lynn Niedfeldt, APNP

• Case Manager/Care Coordinator in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.